Reflections on patients diagnosed with anorexia and bulimia nervosa in the context of subjectivity, self-acceptance and freedom as sources of dignity
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Arch Psych Psych 2011;13(4):73-84
The aim of the article is to draw attention to problems of patients diagnosed with anorexia and bulimia nervosa in the context of dignity. While considering the patients' problems from the philosophical perspective the author of the article pays attention to such sources of dignity as self-esteem, subjectivity, self-acceptance and freedom among others. The author also analyses chosen terms that patients and some therapists use and raises questions concerning the meaning of narration in the therapy of patients with eating disorders. The article is of demonstrative character. The author bases her reflections on the chosen philosophical concepts concerning dignity and violence. Another source of the author's opinions is many years of clinical and therapeutic practice. As a result of the conducted analyses the author demonstrates that the symptoms of anorexia and bulimia, considering their specificity, may hamper, limit or prevent experiencing dignity. Anorexia and bulimia nervosa may violate patients' dignity. Within the scope of personal dignity, they violate the sense of self-esteem. They disturb the ability to self-control and objective self-assessment as well as the ability to analyse achievements and failures within the scope of an active attitude. On the other hand, within the scope of freedom, they hamper or prevent the freedom of choice: in the sphere of thinking, emotions or behaviours.
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